Osugi Ikuko, Inagawa Kiichi, Ebisudani Syougo, Hara Naoki
Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.
Plast Reconstr Surg Glob Open. 2021 Mar 26;9(3):e3481. doi: 10.1097/GOX.0000000000003481. eCollection 2021 Mar.
The cosmetic appeal of the nose is very important, as it is a structure located at the center of the face. Hence, the removal of nasal tumors requires matching aesthetic subunits for the ensuing reconstruction. This procedure often creates large defects that require skin grafts or local flaps for repair. If a large skin graft is required, harvesting of flaps from the head and neck region might have some limitations. Although flaps from the forehead can cover a wide range of facial defects, the skin properties of the forehead differ from those of the rest of the face. Moreover, early postoperative flap deformation may be due to the flap volume and the need for multiple surgeries, leading to vertical forehead scarring. Particularly, vertical forehead scars are more noticeable in Asians than in Westerners. Previously, grafts have been harvested from a unilateral nasolabial fold, but these grafts were small and resulted in asymmetry. Herein, we describe the case of a 67-year-old man with a basal cell carcinoma of the nasal tip, in which closure of the large defect was achieved through excision matching of the aesthetic unit by using skin harvested from bilateral nasolabial folds.
鼻子的美观性非常重要，因为它是位于面部中央的一个结构。因此，切除鼻腔肿瘤后需要匹配美学亚单位进行重建。这个过程常常会造成大的缺损，需要皮肤移植或局部皮瓣来修复。如果需要大面积皮肤移植，从头颈部区域获取皮瓣可能会有一些限制。虽然前额皮瓣可以覆盖广泛的面部缺损，但前额的皮肤特性与面部其他部位不同。此外，术后早期皮瓣变形可能是由于皮瓣体积和需要多次手术导致的，会造成前额垂直瘢痕。特别是，亚洲人前额垂直瘢痕比西方人更明显。以前，曾从单侧鼻唇沟获取移植物，但这些移植物较小，会导致不对称。在此，我们描述了一名67岁鼻尖基底细胞癌男性患者的病例，其中通过使用从双侧鼻唇沟获取的皮肤，通过美学单位的切除匹配实现了大缺损的闭合。
